What would you recommend to remove "smoker lines" above the lip?

There are generally three very effective options for lip lines: Fractional or full CO2  laser, fillers, and Botox, with Ultherapy being a fourth option.CO2 laser treatments are considered the gold standard for treating lip lines but this does require some "downtime" but the results last several years if not longer.  Fillers can be effective as well if the lines are deep enough but too much filler can cause the lip to appear too full.  Botox is reasonably effective and definitely limits the progression of lines and wrinkles too.The attached link and website provides more inforamtion.I hope this helps.

These lines can be very challenging to treat. Botox can create significant temporary improvement in the movement that creates these lines while fillers such as Juvederm can be injected to "plump" the lines and fill the etched in areas of the lips. Lasers can be helpful as well but rarely will a laser treatment alone completely smooth smoker lines. The exception would be fully ablative CO2 laser resurfacing but that is used less often today due to the significant associated downtime. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon